Knowledge of cervical cancer and HPV vaccine in Bangladeshi women: a population based, cross-sectional study

Abstract

BackgroundThe objective of this study was to assess the level of knowledge of cervical cancer among Bangladeshi women and to assess their willingness to receive the human papillomavirus (HPV) vaccine.MethodsA population-based, cross-sectional survey was conducted from July to December 2011 in one urban and one rural area of Bangladesh. A total of 2037 ever-married women, aged 14 to 64 years, were interviewed using a structured questionnaire. Data on socio-demographic characteristics and knowledge of cervical cancer were collected. Willingness to receive the HPV vaccine was assessed. Univariate analyses were completed using quantitative data collected. Multivariable logistic regression models were developed to identify factors associated with having heard of cervical cancer and the HPV vaccine.ResultsThe majority of study participants reported to have heard of cervical cancer (urban: 89.7%, rural 93.4%; P = 0.003). The odds of having heard of cervical cancer were significantly higher in urban women aged 35–44 years (aOR: 2.92 (1.34–6.33) and rural women aged 25–34 years (aOR: 2.90 (1.24–6.73) compared to those aged less than 24 years. Very few women reported to have detailed knowledge on risk factors (urban:9.1%, rural: 8.8%) and prevention (urban: 6.4%, rural: 4.4%) of cervical cancer. In our sample, one in five urban women and one in twenty rural women heard about a vaccine that can prevent cervical cancer. Among urban women, secondary education or higher (aOR: 3.48, 95% CI: 1.67–7.25), age of 20 years and above at marriage (aOR: 2.83, 95% CI: 1.61–5.00), and high socioeconomic status (aOR: 2.25, 95% CI: 1.28–3.95) were factors associated with having heard of the HPV vaccine. Willingness to receive the HPV vaccine among study participants either for themselves (urban: 93.9%, rural: 99.4%) or for their daughters (urban: 91.8%, rural: 99.2%) was high.ConclusionsDetailed knowledge of cervical cancer among Bangladeshi women was found to be poor. Education on cervical cancer must include information on symptoms, risk factors, and preventive methods. Despite poor knowledge, the study population was willing to receive the HPV vaccine.

Knowledge and Acceptance of Human Papillomavirus Vaccine for Cervical Cancer Prevention Among Urban Professional Women in Bangladesh: A Mixed Method Study

“…In early 2018, data using a cross-sectional study of Bangladeshi women with low educational attainment (mean: ∼7 years of education) and low income showed, despite poor knowledge of cervical cancer, willingness to obtain HPV vaccination was very high. 18 One other previous report of Bangladeshi women has documented high (81%) awareness of cervical cancer, however, the majority (74%) of these data were collected from women residing in rural areas and limited to women above the age of 30 years; however, this study found high awareness, but did not explore willingness to vaccinate oneself or their daughters. 19 On the contrary, in another African study, 20 low awareness was related to increased willingness to vaccinate one's child, but not oneself.…”

“…Previous studies conducted in Bangladesh identified the importance of neighbors and relatives as a source of knowledge of cervical cancer, indicating that social network is an important source of knowledge. 18 Involving men in educational efforts would improve the social acceptance of discussing HPV and cervical cancer, which may be vital to efforts in the future to vaccinate young boys in Bangladesh. Such efforts have been previously reported to be an effective and important public health strategy for HPV vaccination program success and effective uptake of vaccination among both adolescent girls and boys.…”

“…The questionnaire was adopted from a previously administered survey of a population-based sample of female adults in Bangladesh. 18 , 21 Sociodemographic information such as age, marital and educational status, religion, average monthly income, and whether they had a daughter were collected. The survey included questions to assess knowledge of cervical cancer and HPV and knowledge of and attitude toward HPV vaccination.…”

Awareness, knowledge about human papillomavirus and attitude towards its vaccine among university students: A Bangladeshi pilot study

“…Understanding people's knowledge and attitude towards HPV infection and vaccination may facilitate to design of effective strategies and interventions in raising awareness and encouraging the uptake of the vaccine among the target population. Previous studies on knowledge and attitudes towards HPV infection and vaccination has focused on women in Bangladesh 11,12 . However, there is a lack of research that explores young adult's knowledge and attitude towards HPV infection and vaccination.…”

Data analysis of coronavirus COVID‐19 epidemic in South Korea based on recovered and death cases

“…Chi-Square test which is normally known as independence test is used to test the hypotheses for categorical variables and to test whether these variables are independent population variable. Chi-Square test can be calculated by finding the summation of dividing the square difference between the observed (O) and the expected (E) values by the expected value for each category in data as shown in Formula 1 12 .…”